Characterization of a recombinant factor IX molecule fused to coagulation factor XIII-B subunit

© 2023 John Wiley & Sons Ltd..

INTRODUCTION AND AIM: Severe haemophilia B (HB) is characterized by spontaneous bleeding episodes, mostly into joints. Recurrent bleeds lead to progressive joint destruction called haemophilic arthropathy. The current concept of prophylaxis aims at maintaining the FIX level >3-5 IU/dL, which is effective at reducing the incidence of haemophilic arthropathy. Extended half-life FIX molecules make it easier to achieve these target trough levels compared to standard FIX concentrates. We previously reported that the fusion of a recombinant FIX (rFIX) to factor XIII-B (FXIIIB) subunit prolonged the half-life of the rFIX-LXa-FXIIIB fusion molecule in mice and rats 3.9- and 2.2-fold, respectively, compared with rFIX-WT. However, the mechanism behind the extended half-life was not known.

MATERIALS AND METHODS: Mass spectrometry and ITC were used to study interactions of rFIX-LXa-FXIIIB with albumin. Pharmacokinetic analyses in fibrinogen-KO and FcRn-KO mice were performed to evaluate the effect of albumin and fibrinogen on in-vivo half-life of rFIX-LXa-FXIIIB. Finally saphenous vein bleeding model was used to assess in-vivo haemostatic activity of rFIX-LXa-FXIIIB.

RESULTS AND CONCLUSION: We report here the key interactions that rFIX-LXa-FXIIIB may have in plasma are with fibrinogen and albumin which may mediate its prolonged half-life. In addition, using the saphenous vein bleeding model, we demonstrate that rFIX-FXIIIB elicits functional clot formation that is indistinguishable from that of rFIX-WT.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:29

Enthalten in:

Haemophilia : the official journal of the World Federation of Hemophilia - 29(2023), 6 vom: 04. Nov., Seite 1483-1489

Sprache:

Englisch

Beteiligte Personen:

Desage, Stephanie [VerfasserIn]
Leuci, Alexandre [VerfasserIn]
Enjolras, Nathalie [VerfasserIn]
Holle, Lori A [VerfasserIn]
Singh, Sneha [VerfasserIn]
Delavenne, Xavier [VerfasserIn]
Wolberg, Alisa S [VerfasserIn]
Biswas, Arijit [VerfasserIn]
Dargaud, Yesim [VerfasserIn]

Links:

Volltext

Themen:

9001-28-9
9001-32-5
9013-56-3
Albumin
Albumins
Extended half-life Factor IX
Factor IX
Factor XIII
Factor XIII-B sub-unit
Fibrinogen
Fusion protein
Hemostatics
Journal Article
Recombinant Fusion Proteins
Recombinant Proteins

Anmerkungen:

Date Completed 14.11.2023

Date Revised 05.01.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/hae.14855

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM362046735